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Home My WebLink About1525 Faraday Ave; 290; CBC2018-0014; Permit(city of Carlsbad Commercial Permit Print Date: 06/21/2018 Permit No: CBC2018-0014 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 1525 Faraday Ave, 290 BLDG-Commercial 2121302700 $39,673.03 Work Class: Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Tenant Improvement Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 01/12/2018 03/08/2018 P!an Check #: Final Inspection: 6/21/2018 10:04:2SAM Project Title: Description: NEWPORT NATIONAL CORP: 853 SF T.!. OFFICE TO OFFICE Applicant: Owner: Contractor: JOSE RODRIGUEZ EMERALD LAKE CORPORATION CENTRE LP JACOR CONSTRUCTION INC 858-794-3222 1525 Faraday Ave CARLSBAD, CA 92008 10612 Prospect Ave, Suite 101 Santee, CA 92071-8500 619-562-8183 BUILOING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLOG) ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL MECHANICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL 581473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-COMMERCIAL Tota! Fees: $682.51 Total Payments To Date: $682.51 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter col!ectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required Information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES ff APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of !imitation has previously otherwise expired. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov $342.00 $239.40 $43.00 $45.00 $2.00 $11.11 ~OLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILD1NG 0FIRE 0HEALTH 0HAZMATIAPCD ~-PlanCheckNo"'Ar;J(11R -(-1~ «~f Building Permit Application Est. Value : {. ':{q, , I 3 ,( _: 1635 Faraday Ave., Carlsbad, CA 92008 ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. peposlt 'fl.. www.carlsbadca.gov Date I fl'] /p( ISWPPP JOB ADDRESS SUITEf/$PACEf/UNITf l'"N 212 1525 Faraday Ave Carlsbad, CA 92107 290 -130 -27 -00 1,.,1/PROJECT # 'LOT# 1P=E# l#OF;JTS l#BEDR;MS # BATHROOMS I TENANT BUSINESS NAME I CONS;BTYPE I occ. ;ouP 102 0 Newport National Corp. DESCRIPTION OF WORK: Include Square Feet of AffitmKf Area(s) Tenant improvement in existing office building. Removal of walls, finish flooring and ceiling. Construction of new wa~. lighting, power, counter~top replacement and ductwork only to seive remodeled areas. No structural, plumbing or HVAC ~uipment. Approximately 853 sq. ft. of affected area in approximately 6,353 usable sq. ff. Of office space. , EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) Fl~E TAIR CONDITIONING I FIRE SPRINKLERS Office Office YE No[ZJ v,s[t]NoD v,s@NoO APPLICANT NAME Designcorp • Jose Rodriguez PROPERtY OWNER \ Jeffry Brusseau -/' --~4 s . - Prlm•ry Cont•ct ADDRESS ADDRESS 1525]:araday Ave Suite 100 I 4944 Collingwood Drive CITY STATE ZIP CITY STATE ZIP San Die110 CA 92109 Carlsbad CA 92008 PHONE IFAX PHONE IFAX 858-794-3222x305 858-490-0364 760-607 •4282 X 103 760-607 -4286 EMAIL EMAIL jrodriguez@designcorpsd.com jbrusseau@newportnational.biz DESIGN PROFESSIONAL Designcorp • Christine Jordan CONTRACTOR BUS.NAME_ \~a (c.Ji.'\~ ADDRESS 4944 Collingwood Drive AOORE\<!XDI '2.. ~~~~er N-J'~ CITY STATE ZIP CIT~ tA ~7oY"l \ San Die110 CA 92109 PHONE IFAX ~ 57oZ-8\'83 IFAX 858-794-3222 X 308 858-490-0364 EMAIL EMAIL cjordan@designcorpsd.com '""'D)t.J'i' e,~1><.ot.-~0-C..OtM I STATELIC. • 3850 STATE .A!..-~ _A I "2--IC~ ~'c-5.'ft ..J-f) .. , (Sec. 7031.5 Business and Professions Code: Arry City or County which requires a permit to construct, alter, Improve, demohsh or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's license Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he Is exem12t therefrom, and the basis for the alleged exemption. Any vtolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS" COMPENSATION Wc>rtttt1' Compensation Declll'ltlon: I hereby 8fflrm under penalty of perjury one of the following declarations: D I have and will maintain a certlflcatt of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have and wlll 1N1intaln workers' compensation, as required bv Section 3700 of the Labor Code, fat the performance of the 'M'.ll'k for which this permit is Issued. My workers' compensation insuranceflrrier aod policy numbe<ara lnsurar<:eeo.lm,Jl?f!J: ii co Mi?fd;i't' oF Tifw Pol<yNo \19!:::>D 50~:Z.l 3 Expiration Date to 11 ue.> lb,ji.sectlon need not be completed if the permit is for one hundred dollars ($100) or less. VJ~ I LJ Certificate of Exemption: I certify that in the performance of the wor1< for which this permit ls issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Galifomia. WARNING: Fallure to secure w pensatlon coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dad for In Section 3706 of the labor code, Interest and attorney's fees. AS CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owfng reason: D 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buiids or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not buiid or Improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the pro,ect {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bulids or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have I have not) signed an application for a buiidlng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name I a:ldress I phone I contractors' license number): 5. I will provide some of the work, but I have con~ (hired) the following persons to provide the work Indicated (include name I a:ldress I phone I type of work): 8$ PROPERTY OWNER SIGNATURE 0AGENT DATE ._: Ctil"IIIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is lhe applicant or future building occupant required to submit a business plan, acutely hazardous materilis registration form or risk mau1gement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance A<x:ount Act? Yes ./ No Is lhe applicant or future buldlng occupant required to obtain a permit from the air pollution control district or air quality management district? Yes ./ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes ./ No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DtSTRICT. I oartlfy that.I NM 198d the application and state that the abl:MI lnfonnatlon Is oonectand that the inbnnatlon on the plans Is accura'e. I agree to complywllh all Cllyordlnanoasand State laws relating to l:lulklngconstruclion. I hereby aufll<lli2e represenlatiYe of lhe Cilyof Cirlsbad loenler upoo lhe aoo.e mentiored-1Y IJ< inspecii)n purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMlESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AG/IJNST SAID CITY IN CONSEOOENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permk is requred br excavations over 5'0' or construction of structures over 3 stories rl t&Jht EXPIRATION: Every permit issued by the 9.likf · puvisbns o shall expie by initaoon and beoome null Md i.oi::l if the bu~ing or v.ork authorized t1;' sud1 pennlt is not rommenrech...tthin 1Elldays from lhe daleof such penntt or <lilg or by such tt • suspended or abandoned at any tirre allilrlhe v.ork • CXJllllll!flald IJ< a Jllriod of 160days (Secoon 1IB.4.4 Unm BJ1<ling Code). AS APPLICANT'S SIGNATURE DATE 0 • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mall the completed form to Cltyof Garlsbad, Bui~ing Division 1635 Faraday Avenue, Garlsbad, Galifom~ 92008. CO#: tOfflce Use .,.,1 CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELMRY OPllONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER:---------------- A! APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP PERMIT INSPECTION HISTORY REPORT (CBC2018-0014) Permit Type: BLDG-Commercial Application Date: 0111212018 Owner: EMERALD LAKE CORPORATION CENTRE LP Work Class: Tenant Improvement Issue Date: 03/0812018 Subdivision: CARLSBAD TCT#85-24 UNIT#05 Status: Closed -Finaled Expiration Date: 10/2912018 Address: 1525 Faraday Ave, 290 Carlsbad, CA 92008-7379 IVR Number: 8878 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 05/01/2018 06/01/2018 BLDG414 Rough 056689-2018 Passed Michael Collins Complete Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Wall at Rm201 Yes BLDG-14 Yes Frame-Steel-Bolting-Welding {Decks) BLDG-34 Rough Electrical Yes 05/2412018 05/24/2018 BLDG-Final 059011-2018 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No 06/29/2018 06/29/2018 BLDG-Final 059296-2018 Fa lied Michael Collins Relnspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-Building Deficiency Not ready No 06/14/2018 06/14/2018 BLDG-Final 060986-2018 Failed Michael Collins Reinspection Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Complete EM & illuminated exit lighting and No tactile signage. BLDG-Building Deficiency Not ready No BLDG-Building Deficiency Not ready No 06/20/2018 06/20/2018 BLDG-Final 061584-2018 Cancelled Michael Collins Reinspectlon Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Not ready No BLDG-Building Deficiency Complete EM & illuminated exit lighting and No tactile signage. BLDG-Building Deficiency Not ready, cancelled by contractor No BLDG-Building Deficiency Not ready No 06/21/2018 06/21/2018 BLDG-Final 061689-2018 Passed Michael Collins Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency Complete EM & illuminated exit lighting and No tactile signage. BLDG-Building Deficiency Not ready No BLDG-Building Deficiency Not ready, cancelled by contractor No BLDG-Building Deficiency Existing lighting & mechanical. Existing Yes break room. BLDG-Electrical Final GFCI protection at break room ok Yes BLDG-Building Deficiency Not ready No June 21, 2018 Page 1 of2 Permit Type: Work Class: Status: Scheduled Date June 21, 2018 PERMIT INSPECTION HISTORY REPORT (CBC2018-0014) BLDG-Commercial Application Date: 01/12/2018 Owner: EMERALD LAKE CORPORATION CENTRE LP Tenant Improvement Issue Date: 03/08/2018 Subdivision: CARLSBAD TCT#85-24 UNIT#05 Closed -Finaled Expiration Date: 10/29/2018 Address: 1525 Faraday Ave, 290 Carlsbad, CA 92008-7379 IVR Number: 8878 Actual Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete BLDG-Fire Final 069063-2018 Scheduled Dominic Fierl Incomplete Checklist Item COMMENTS Passed FIRE-Building Final No Page 2 of2 DATE: 02/08/2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0014 V: EsG1I A S/lJ HJtnlt (:;)mp;-,ny SET: II PROJECT ADDRESS: 1525 Faraday Ave. #290 ~ A. PPLICANT ~URIS PROJECT NAME: Newport International Corp. Tenant Improvement IZJ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: IZJ EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: ---Telephone#: -(~0 ) Email: Date contacted: Fax In ferson Mail Telephone D REMARKS: By: Dwight Ashman (For J.P.) EsGil 01/30/2018 Enclosures: 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 DATE: 1/24/2018 JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0014 ~ EsG1I SETI PROJECT ADDRESS: 1525 Faraday Ave. #290 ~_,fof'PLICANT )4 JURIS. PROJECT NAME: Newport International Corp. Tenant Improvement D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. C8J The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. C8J The applicant's copy of the check list has been sent to: Jose Rodriguez D EsGil staff did not advise the applicant that the plan check has been completed. C8J EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Jose Rodriguez Telephone#: 858-794-3222 x 305 £ate coit ted: ' ~ (by1l..}---Email: jrodriguez@designcorpsd.com ~ail el pho~ Fax In Person D REMAR : ,ff' , By: Jason Pasiut EsGil 1/17/2018 Enclosures: 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560-1576 Carlsbad CBC2018-0014 1/24/2018 PLAN REVIEW CORRECTION LIST TENANT IMPROVEMENTS PLAN CHECK#.: CBC2018-0014 OCCUPANCY: B TYPE OF CONSTRUCTION: V-8 ALLOWABLE FLOOR AREA: within SPRINKLERS?: YES REMARKS: DATE PLANS RECEIVED BY JURISDICTION: 1/12/2018 DATE INITIAL PLAN REVIEW COMPLETED: 1/24/2018 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: Office ACTUAL AREA: 6,353 s.f. STORIES: 3 HEIGHT: unchanged OCCUPANT LOAD: 63 DATE PLANS RECEIVED BY ESGIL CORPORATION: 1/17/2018 PLAN REVIEWER: Jason Pasiut This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled. This plan review is based on regulations enforced by the Building Department. You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, Fire Department or other departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2016 CBC, which adopts the 2015 IBC. The following items listed need clarification, modification or change. All items must be satisfied before the plans will be in conformance with the cited codes and regulations. Per Sec. 105.4 of the 2015 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet number, specification section, etc. Be sure to enclose the marked up list when you submit the revised plans. Carlsbad CBC2018-0014 1/24/2018 Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in one of two ways: 1. Deliver all corrected sets of plans and calculations/reports directly to the City of Carlsbad Building Department, 1635 Faraday Ave., Carlsbad, CA 92008, (760) 602- 2700. The City will route the plans to EsGil Corporation and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468. Deliver all remaining sets of plans and calculations/reports directly to the City of Carlsbad Building Department for routing to their Planning, Engineering and Fire Departments. NOTE: Plans that are submitted directly to EsGil Corporation only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete. • PLANS 1. Please revise the occupant load for the following areas on sheet T2: a) Conference room 203 to 22.21. b) Break room 204 to 8.62. c) Collaborative area to 46.77. d) Total occupant load to be 141. This does not change the egress requirements. 2. Please correct the following sheets I notes: a) Sheet TS sanitary facilities note 1 to state 44". 11 B-403.5.1 (5). b) Sheet TS water closet II to state 51bs. 11 B-309. c) Sheet TS doors and hardware note b. to state 34" and 44". 11 B-404.2.7. d) Update the occupant load calculations on sheet T2. e) Required egress door width to be 141 x .15 = 21.15". f) Stairway egress door width required to be 141 x .20 = 28.20". g) Sheet Tl-1 Green Building Requirements recycling to be 65%. h) Sheet Tl-3 General mechanical note 2 to state CEC 120.1.b.1. Carlsbad CBC2018-0014 1/24/2018 • PARTITIONS 3. Sheet Tl-1 refers users to Tl-5 for wall types. The new wall appears to be type 2. There are no wall types on sheet Tl-5. Please clarify. Also, please show proposal for fasteners used to connect all stud to stud and stud to existing structure connections for walls and soffits. • MECHANICAL 8. Please provide proposal for achieving the required .50 cfm per s.f. minimum exhaust rate for the copy rooms. CMG Table 403.7. • END OF REVIEW To speed up the review process, please note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. Please indicate here if any changes have been made to the plans that are not a result of corrections from this list. If there are other changes, please briefly describe them and where they are located in the plans. Have changes been made to the plans not resulting from this correction list? Please indicate: D Yes D No The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Jason Pasiut at Esgil Corporation. Thank you. Carlsbad CBC2018-0014 1/24/2018 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: CBC2018-0014 PREPARED BY: Jason Pasiut DATE: 1/24/2018 BUILDING ADDRESS: 1525 Faraday Ave. #290 BUILDING OCCUPANCY: B BUILDING PORTION Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb 1997 UBC Building Permit Fee 1997 UBC Plan Check Fee AREA ( Sq. Ft.) 853 ... , __ _I Valuation Multiplier 46.51 By Ordinance Type of Review: GJ Complete Review D Repetitive Fee ~~] Repeats Comments: D Other D Hourly EsGil Fee Reg. VALUE Mod. D Structural Only l----~,Hr.@* ($) 39,673 39,673 $342.491 $222.621 $195.221 Sheet 1 of 1 Business Name SAN DIEGO REGIONAL HAZARDOUS MATERIALS QUESTIONNAIRE New ort National Cor oration OFFICE USE ONLY RECORDID#~~~~~~~~~~~~~~~~~I PLANCHECK#~~~~~~~~~~~~~~~~-1 BP DATE Project Address City Carlsbad State 1525 Farada Ave. CA Mailing Address City State Same as above Project Contact 1. 2. 3. 4. 5. 6. 7. 8. Jose Rodri uez 13. Corrosives Explosive or Blasting Agents Compressed Gases Flammable/Combustible Liquids Flammable Solids Organic Peroxides Oxidizers Pyrophorics Unstable Reactives Water Reactives Cryogenics 14. Other Health Hazards D D D D D Highly Toxic or Toxic Materials Radioactives Expected Date of Occupancy: 15. NoneofThese. (for new construction or remodeling projects) Is your business listed on the reverse side of this form? (check all that apply). Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500 pounds and/or 200 cubic feet? Will your business store or handle carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? Will your business store or handle Regulated Substances (CalARP)? Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)? Will your business store petroleum in tanks or containers at your facility with a total facility storage capacity equal to or reater than 1,320 allons? California's Above round Petroleum Stora e Act . D CalARP Exempt Date Initials 0 CalARP Required Date Initials 0 CalARP Complete Date Initials PART 111: SAN DIEG UNTY AIR POLL TION CONTROL DISTRICT APCD: Any YES• answer requires a stamp from APCD 10124 Old Grove Road. San Diego, A 92131 apcdcomp@sdcounty.ca.gov (858 586-2650). [*No stamp required if 01 Yes i!JQ 03 Yes and 04-06 No]. The following questions are intended to identify the majority of air pollution issues at the planning stage. Projects may require additional measures not identified by these questions. For comprehensive requirements contact APCD. Residences are typically exempt, except -those with more than one building• on the property; single buildings with more than four dwelling units; townhomes; condos; mixed-commercial use; deliberate bums; residences forming part of a larger project. rExcludes garages & small outbuildings.] 1. 2. 3. YES NO § I 4. D 5. 6. D D Will the project disturb 160 square feet or more of existing building materials? Will any load supporting structural members be removed? Notification may be required 10 working days prior to commencing demolition. (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos suivey been performed by a Certified Asbestos Consultant or Site Surveillance Technician? (ANSWER ONLY IF QUESTION 3 IS YES) Based on the survey results, will the project disturb any asbestos containing material? Notification may be required 10 working days prior to commencing asbestos removal. Will the project or associated construction equipment emit air contaminants? See the reverse side of this form or APCD factsheet (www.sdapcd.org/info/facts/permits.pdf) for typical equipment requiring an APCD permit. (ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school boundarv Briefly describe business activities: Office Briefly describe proposed project: Spec. Suite 290 A I declare under penalty of perjury that to the best of my knowledge and belief~ e r~ true and correct. 0/1 I z.. ti~ Name of Owner or Authorized Aaent Sinna~ of O•.!ner/brl Authorized Aaent Date FOR OFFICAL U IE ?NLY: FIRE DEPARTMENT OCCUPANCY CLASSIFICATION: BY: DATE: I I EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDING PERM ~UT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMO* APCD COUNTY-HMO APCD COUNTY-HMO APCD .. *A stamp 1n this box 2!!!x exempts businesses from completing or updating a Hazardous Matenals Business Plan. Other permitting requirements may still apply. HM-9171 (08/15) County of San Diego -DEH -Hazardous Materials Division • LIST OF BUSINESSES WHICH REQUIRE REVIEW AND APPROVAL FROM THE COUNTY OF SAN DIEGO DEPARTMENT OF ENVIRONMENTAL HEALTH -HAZARDOUS MATERIALS DIVISION Check all that apply: AUTOMOTIVE D Battery Manufacturing/Recycling D Boat Yard D Car Wash D Dealership Maintenance/Painting D Machine Shop D Painting D Radiator Shop D Rental Yard Equipment 0 Repair/Preventive Maintenance D Spray Booth D Transportation Services D Wrecking/Recycling CHEMICAL HANDLING D Agricultural supplier/distributor D Chemical Manufacturer D Chemical Supplier/Distributor D Coatings/Adhesive D Compressed Gas Supplier/Distributor D Dry Cleaning D Fiberglass/Resin Application D Gas Station D Industrial Laundry D Laboratory D Laboratory Supplier/Distributor D Oil and Fuel Bulk Supply D Pesticide Operator/Distributor CHEMICAL HANDLING D Photographic Processing D Pool Supplies/Maintenance D Printing!Blue Printing D Road Coatings D Swimming Pool 0 Toxic Gas Handler D Toxic Gas Manufacturer METAL WORKING D Anodizing D Chemical MIiiing/Etching D Finish-Coating/Painting D Flame Spraying D Foundry D Machine Shop-Drilling/Lathes/Mills D Metal Plating D Metal Prepping/Chemical Coating D Precious Metal Recovery D Sand Blasting/Grinding D Steel Fabricator D Wrought Iron Manufacturing AEROSPACE D Aerospace Industry D Aircraft Maintenance D Aircraft Manufacturing OTHERS AND MISCELLANEOUS D Asphalt Plant D Biotechnology/Research D Chiropractic Office D Co-Generation Plant D Dental Clinic/Office D Dialysis Center D Emergency Generator D Frozen Food Processing Facility D Hazardous Waste Hauler D Hospital/Convalescent Home D Laboratory/Biological Lab D Medical Clinic/Office D Nitrous Oxide (NOx) Control System D Phannaceuticals D Public Utillty D Refrigeration System D Rock Quarry D Ship Repair/Construction D Telecommunications Cell Site D Veterinary Clinic/Hospital D Wood/Furniture Manufacturing/Refinishing ELECTRONICS D Electronic Assembly/Sub-Assembly D Electronic Components Manufacturing D Printed Circuit Board Manufacturing NOTE: THE ABOVE LIST INCLUDES BUSINESSES, WHICH TYPICALLY USE, STORE, HANDLE, AND DISPOSE OF HAZARDOUS SUBSTANCES. ANY BUSINESS NOT INCLUDED ON THIS LIST, WHICH HANDLES, USES OR DISPOSES OF HAZARDOUS SUBSTANCES MAY STILL REQUIRE HAZARDOUS MATERIALS DIVISION (HMD) REVIEW OF BUSINESS PLANS. FOR MORE INFORMATION CALL (858) 505-6880. LIST OF AIR POLLUTION CONTROL DISTRICT PERMIT CATEGORIES Businesses, which include any of the following operations or equipment, will require clearance from the Air Pollution Control District. CHEMICAL 4 7 -Organic Gas Sterilizers 32 -Acid Chemical Milling 33 -Can & Coil Manufacturing 44 -Evaporators, Dryers & Stills Processing Organic Materials 24 -Dry Chemical Mixing & Detergent Spray Towers 35 -Bulk Dry Chemicals Storage 55 -Chrome Electroplating Tanks COATINGS & ORGANIC SOLVENTS 27 -Coating & Painting 37 -Plasma Arc & Ceramic Deposition Spray Booths 38 -Paint, Stain & Ink Mfg 27-Printing 27 -Polyester Resin/Fiberglass Operations METALS 18 -Metal Melting Devices 19 -Oil Quenching & Salt Baths 32 -Hot Dip Galvanizing 39 -Precious Metals Refining ORGANIC COMPOUND MARKETING !GASOLINE. ETCl 25-Gasoline & Alcohol Bulk Plants & Tenninals 25 -lntennediate Refuelers 26 -Gasoline & Alcohol Fuel Dispensing COMBUSTION ROCK AND MINERAL 34 -Piston Internal -Combustion Engines 04 -Hot Asphalt Batch Plants 13-Boilers & Heaters (1 million BTU/hr or larger) 05-Rock Drills 14 -Incinerators & Crematories 06-Screening Operations 15 -Bum Out Ovens 07 -Sand Rock & Aggregate Plants 16-Core Ovens 08-Concrete Batch, CTB, Concrete Mixers, Mixers 20 -Gas Turbines, and Turbine Test Cells & Stands & Silos 48 -Landfill and/or Digester Gas Flares 1 O -Brick Manufacturing ELECTRONICS 29 -Automated Soldering 42 -Electronic Component Mfg EQQQ 12 -Fish Canneries 12 -Smoke Houses 50 -Coffee Roasters 35 -Bulk Flour & Powered Sugar Storage SOLVENT USE 28 -Vapor & Cold Degreasing 30 -Solvent & Extract Driers 31 -Dry Cleaning OTHER 01 -Abrasive Blasting Equipment 03 -Asphalt Roofing Kettles & Tankers 46 -Reverse Osmosis Membrane Mfg 51 -Aqueous Waste Neutralization 11 -Tire Buffers 17 -Brake Debonders 23 -Bulk Grain & Dry Chemical Transfer & Storage 45 -Rubber Mixers 21 -Waste Disposal & Redamation Units 36 -Grinding Booths & Rooms 40 -Asphalt Pavement Heaters 43 -Ceramic Slip Casting 41 -Perlita Processing 40 -Cooling Towers -Registration Only 91 -Fumigation Operations 56 -WWTP (1 million gal/day or larger) & Pump Station NOTE: OTHER EQUIPMENT NOT LISTED HERE THAT IS CAPABLE OF EMITTING AIR CONTAMINANTS MAY REQUIRE AN AIR POLLUTION CONTROL DISTRICT PERMIT. IF THERE ARE ANY QUESTIONS, CONTACT THE AIR POLLUTION CONTROL DISTRICT AT (858) 586-2600. HM-9171 (08115) County of San Diego -DEH -Hazardous Materials Division J INDUSTRIAL WASTEWATER DISCHARGE PERMIT SCREENING SURVEY Date. ___ _ Business Name Emerald I ake Corporate Centre -Spec S11ite 29D Street Address 1525 Faraday Ave. Carlsbad CA 92008 Email Address jrodriguez@designcorpsd.com PLEASE CHECK HERE IF YOUR BUSINESS IS EXEMPT: (ON REVERSE SIDE CHECK TYPE OF BUSINESS) 1\71 Check all below that are present at your facility: P Acid Cleaning Ink Manufacturing Nutritional Supplement I Assembly Laboratory Vitamin Manufacturing Automotive Repair Machining I Milling Painting I Finishing Battery Manufacturing Manufacturing Paint Manufacturing Biofuel Manufacturing Membrane Manufacturing Personal Care Products Biotech Laboratory (i.e. water filter membranes) Manufacturing Bulk Chemical Storage Metal Casting I Forming Pesticide Manufacturing I Car Wash Metal Fabrication Packaging Chemical Manufacturing Metal Finishing Pharmaceutical Manufacturing Chemical Purification Electroplating (including precursors) Dry Cleaning Electroless plating Porcelain Enameling Electrical Component Anodizing Power Generation Manufacturing Coating (i.e. phosphating) Print Shop Fertilizer Manufacturing Chemical Etching I Milling Research and Development Film I X-ray Processing Printed Circuit Board Rubber Manufacturing Food Processing Manufacturing Semiconductor Manufacturing Glass Manufacturing Metal Powders Forming Soap I Detergent Manufacturing Industrial Laundry Waste Treatment/ Storage SIC Code(s) (if known):---------------------- Brief description of business activities (Production I Manufacturing Operations): _____ _ Spec 81 lite Office Space Description of operations generating wastewater (discharged to sewer, hauled or evaporated): Estimated volume of industrial wastewater to be discharged (gal I day): _______ _ List hazardous wastes generated (type I volume):---------------- Date operation began/or will begin at this location: ---------------- Have you applied for a Wastewater Discharge Permit from the Encina Wastewater Authority? Yes No If yes, when:--------------------- DISCHARGE PERMIT EXEMPT LIST The commercial enterprises listed below are a partial listing of businesses that are exempt from industrial wastewater discharge permitting under normal operating conditions. They are exempt because (a) they discharge no process wastewater (i.e., they only discharge sanitary wastewater with no pollutants exceeding any local limits), and (b) they have no potential to negatively impact the EWPCF or other wastewater treatment plants in the ESS. Any questions regarding exemptions should be referred to EWA Source Control staff. Automobile Detailers Barber/Beauty Shops X Business/Sales Offices Carpet/Upholstery Cleaning Services Childcare Facilities Churches Community Centers Consulting Services Contractors Counseling Services Educational Services (no auto repair/film developing) Financial Institutions/Services Fitness Centers Gas Stations (no car wash/auto repair) Grocery Stores (no film developing) Home-based Businesses Hotels/Motels (no laundry) Laundromats Libraries Medical Offices (no x-ray developing) Mortuaries Museums Nail Salons Nursing Homes Office Buildings (no process flow) Optical Services Pest Control Services (no pesticide repackaging for sale) Pet Boarding/Grooming Facilities Postal Services Public Storage Facilities Restaurants/Bars Retail/Wholesale Stores (no auto repair/film developing) Theaters (Movie/Live)